HomeMy WebLinkAbout2013-01311 - mechanical . CITY OF ORONO * 2 B 1 3 - 0 1 3 1 1 *
, 2750 KELLEY PARKWAY DATE ISSUED: 12/23/2013
• ORONO, MN 55356-
952) 249-4600 FAX: (952 249-4616
ADDRESS : 1399 PARK DR
PIN : 07-117-23-42-0012
LEGAL DESC : SAGA HILL REVISED
: LOT 016 BLOCK 006
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,000.00
NOTE: IN FLOOR TUBING,ADD ZONE VALVES,PUMP AND MANIFOLD
APPLICANT MECHANICAL 87.50
STATE SURCHARGE MECH(VALUATION) 3.50
STAFFORD HOME SERVICE INC. MAIL-IN FEE 2.00
6225 CAMBRIDGE STREET
ST LOUIS PARK,MN 55416- TOTAL 93.00
(952)927-7194 Payment(s)
CREDIT CARD 3307 93.00
OWNER
SIGEL, STEVEN& SHEILA
1399 PARK DR
MOtJND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
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�Q O City of Orono
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Phonc(952)2A9-4640 Fax(952)249�46i 6
��kESHOQ'�4`� CITY OF ORONO—MECY�AIVTCAL PE�tMIT
(All Com,mercial pamits m�st be approved by the Building Ot�Ccial or�spector a»d/or Fire Mazahall�
GENER.AL INFORMATIO�T
1. You may apply for mechanical perm,its by mai!or in,person at the City offices. Applications will
be revi�ewed attd a permit will be issued within two working d�ys.
z. Pcrmit cards will be sent by retu�mia,il a�t"tet a re�ritw is completed. PERMXTS A,��NOT
VALID UNTJ�.YOU RECENE A PERMIT. WORK MUST NOT SECIN(7lNTIi,THE �
x CARD LS POSTED O T Sx�,
3. Mechanical Desi rg,,,�,—Cotll�lete calculations,details and spee;i�eations arC required for each
heating,ventila�ion,b�uAaidification-dehumidifica6on,a�d a�,r co�aditioning installation includiioig
heat loss/t�eat gai�►calculation,design tcmperatures,equipment ratings and idenCincation as to
rypc,manufacturer a�d lmodel. Data shall be presented ou��'oxax�,pxovided.
4. When any new construction or remodeling is involved,a separate bu=ldit►g permit must be
obtained.
5. AIl work must be done i�t accordattce witt�the Uniform IV�eck�a�iGal Code/Statc Building Code
requirements.
6. All work must be i�qspected(rough-in and final)_ Ca11(952)249�600.
(24-a8�our notice require�
7. House�ieating Test Rccord must be submitted befone final.
TYPE O�PERMIT .. .
Check All That,A
�sidential ❑Commercial(A,ppxova,l Requirt� � ..
❑New �Additional f�Repairs ❑Replace
J'ob Site/Owne�r Infona�atio�a: .
Site A,ddress: � K b(� � �. �
Owner:� � ca��� Maiuizag Address: I � !�1 ,�,�
C�ty: � Zip: ��J~�r0�
Home Phone: ��o��� �—I!� Alternate Phome:
Contractox�ao�,farmation: y��
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Addr�ss: State Bond#' Q��)�'7
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�'home: 7�o�`" !a��f�� Alternate Phor�e_
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Note:,A,11 Geot}aezznal Systenas w�i��now require a Site k'lan 8t Review by our Buiiding Official.
IS TffiS CCEOTHERMAL? ❑Yes f,�No
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AEATIPiG SXS'�'EMS
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F e ize:
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COOLING SYSTEMS
Quanciry- '.
Make:
Model:
Tons:
H.k'owe�
FIREPLACES
❑ Gas Factory Fire�lace ��a�ad�Tame:
❑ Wood Burn�ing��replace
❑ Wood Stove Modet No.:
❑ Wood S=ove wi�th Fluc/Masonry
VENTILA'CXON
❑ No_ IC�iccb�en�xhaust duct Xecirculatina cfm
❑ No. �ath Fxhaust(must hava duct outside) efin
❑ No. Ot6er Fans: Locations c;fitl
�U��STORAGE (Must be aivproved by,��re MprsbuU if proposiAg ta abmtdpn tauk in plp.ce.)
� Installation � Removal � �
Fuei Oil: galfons ❑ Undergrouod ❑�nside ❑Outstdc
LP Gas: gaUons
Other.
G,AS Li.�I�ONLY
❑ Outdoor Grill ❑ dther/List What&Where:
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❑ 'Y"es,thts section applics . .. • .
The replacement of a Residential fixture or appliance tk�at K»eets all tbxee of the following rccXuirements:
1. Does not require ncwdi�lcat�a�7,ro eaect�'ic�l or gas ServiCe. ,
2_ '�as a tota�ost of$500.00 or less;excludine the cost of the fixture or appliarice:and
3. is improved,installed ar replaced by the homeowner oz Iieensed contracbor.
Skip next section,if thas appaies; Cost of Permit $ 15.00 '
State Surcharge $ 5.00
Mail-In�ee(Xf Applicable) $ 2_00
�'Otal�e�At�ee S
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If ab0�e d0es not appty;follow guidelines befow:
1. CONTRACT PRICE *is 1.25"/0 0�con4ract price with a{Minimum Fce o�'�50.00)
X.oxzs� r S��
(contracc pitice) (minnoum S50.00)
2. STATE S�CHARGT � L�
x.0005 $ � `�
(contrut pri�e)
3_ PpSx,A,G�&HANDLING(Only on Mail-In Ap�licaCions) $ —�66--- ,
4. TOTA�kERMXT�'EE(Add Lines 1-�Above) S e V
■ * CONTRACT PRIC�or JO� CdST means the actual or estiir�ated dollar amouttt charged for the
pe►rnitted work it�,cluding materials,labor,pro�t,a�td oth�er�i�ced costs. It is the amount to be chsrged .
to the customer for tbie woz�c done. If any material;equipment,labor o;r'tustallations aze furnished by
tt�e own,e,r,tenane or any other party,rhe reasoz►able market vatuc of svch icems musc be added to thc
estimated cost or co�►tract p�eo for peamit fee purposes. Ir�t17�e event that there is a dispute o�, tb�e
amount of the job cost, the Ciry may request the submission of a si�►ed eopy of thc actual contract
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The undersigned hereby applies to the City for issuance o�a Mec�anical Permit,agrees tu do all
work in stric� aceazdau�ce with the ordinances of tbe City and the regulations of tbie State of
Minnesota, an�d certifies that aIl stat ts znade on this applieation� are complete, tnie and
cocrect.
Applica�at's 5ignaiure: Date: (� a ��
�����iv�l'(it-'
3
� � � DATE TIME✓
CITY OF ORONO CALLED IN �L=� �
INSPECTION N_,O,�TICE SCHEDUIED
PERMR NO.c�/�3 -��3�� COMPLETED _
ADDRESS � ��g ��-���1/�J
OWNER T EPHONE 0.�5� a`7`7�
CONTRACTOR �r "
� DESCRIP�ON � ��
W ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL �MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP O COMPUUNT
v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbA710N/REMOVAL
2 �NNERICONTRACTOR TO MEET YOU:_YES_NO ,
� COMM NTS: Sn - �F��f (ts� ��� �/e�t �t�0••�r�
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� �Of�RK SATISFACTORY:PROCEED ❑PRW ECT COMPLEfE
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w �CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PEFiMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 2a hours in advarx:e. (952) 249-4600
Owne ctor on site: Q r �
.�_
Inspector: �
White Capyllnspector's File Cenary CopylSite Notke
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r" �/ p TE / TIME "
`� �TY OF ORONO <� CALLED IN �
INSPECTION NOTICE., scHE�u�e� _,/ c �
PERMiT NO. �' <^�� ���3�I COMPLqEo
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ADDRESS ��� �I f" c ? I�`_/C.. �1�
OWNER TELEPHQNE NO.�/`�k� �i'� 7� 7�C/[�
CONTRACTOR , --�--F'1 C7 ���Yc� �(.��k.�
t � �.��� ����.�,,
� DESCRIPTION i� � �' �^�� -' `' ' �
� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOFE/WETLANDS
y ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTI �FINAL ❑ FOUNbATION/REMOVAL
� OWNERfCONTRACTOR TO MEET YOU: YES_NO
c�., COMMENTS:
W � � [ec�r�� �,n.� r —a�
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� ❑WORK SATISFACTORY:PROCEED �4�RD.tECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site: ���'
Inspector.
White Copyllnspector's File Canary CopylSfte Notice